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Texas rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $3 · 10th–90th $2$100%10%20%10th90th$3Professionalmedian $2 · 10th–90th $2$30%50%10th90th$2$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.09
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.19 / $2.19
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $34.67 / $34.67
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.55 / $6.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.00 / $3.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.45
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $3.39 / $6.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.19 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.86 / $2.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.14 / $2.82
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.98 / $3.98